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		<td width="50%">BLGF Form No. 2-d (Revised 2000)</td>
		<td width="50%" align="right">Annex B-3</td>
	</tr>
	<tr><td colspan="2" align="center">RECORD OF REAL PROPERTY TAX COLLECTION</td></tr>
	<tr><td colspan="2" align="center">BASIC AND SEF</td></tr>
	<tr><td colspan="2">LGU: {lgu}</td></tr>
	<tr><td colspan="2">PERIOD: {startDate} - {endDate}</td></tr>
	<tr><td colspan="2">RPU CALSSIFICATION: {rpuClass}</td></tr>
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<table border="1" cellpadding="1" cellspacing="1">
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		<td align="center" valign="bottom">Date<br>&nbsp;<br>(1)</td>
		<td align="center" valign="bottom">Taxpayer<br>&nbsp;<br>(2)</td>
		<td align="center" valign="bottom">Period<br>Covered<br>&nbsp;<br>(3)</td>
		<td align="center" valign="bottom">O.R. No.<br>&nbsp;<br>(4)</td>
		<td align="center" valign="bottom">Name of<br>Barangay<br>&nbsp;<br>(5)</td>
		<td colspan="7" align="center">
			<table border="1" cellpadding="0" cellspacing="0">
				<tr><td colspan="7" align="center">BASIC TAX</td></tr>
				<tr>
					<td align="center" valign="bottom">Current<br>Year<br>(6)</td>
					<td align="center" valign="bottom">Discount<br>&nbsp;<br>(7)</td>
					<td align="center" valign="bottom">Prior<br>Year(s)<br>(8)</td>
					<td colspan="2" align="center" valign="bottom">
						<table border="1" cellpadding="0" cellspacing="0">
							<tr><td colspan="2">Penalties</td></tr>
							<tr>
								<td>Current<br>Year<br>(9)</td>
								<td>Prior<br>Year(s)<br>(10)</td>
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						</table>
					</td>
					<td align="center" valign="bottom">Sub-Total<br>Gross Coll.<br><font size="1">6+8+9+10</font><br>(11)</td>
					<td align="center" valign="bottom">Sub-Total<br>Net Coll.<br><font size="1">6-7+8+9+10</font><br>(12)</td>
				</tr>
			</table>
		</td>
		<td colspan="7" align="center">
			<table border="1" cellpadding="0" cellspacing="0">
				<tr><td colspan="7" align="center">S E F</td></tr>
				<tr>
					<td align="center" valign="bottom">Current<br>Year<br>(6)</td>
					<td align="center" valign="bottom">Discount<br>&nbsp;<br>(7)</td>
					<td align="center" valign="bottom">Prior<br>Year(s)<br>(8)</td>
					<td colspan="2" align="center" valign="bottom">
						<table border="1" cellpadding="0" cellspacing="0">
							<tr><td colspan="2">Penalties</td></tr>
							<tr>
								<td>Current<br>Year<br>(9)</td>
								<td>Prior<br>Year(s)<br>(10)</td>
							</tr>
						</table>
					</td>
					<td align="center" valign="bottom">Sub-Total<br>Gross Coll.<br><font size="1">6+8+9+10</font><br>(11)</td>
					<td align="center" valign="bottom">Sub-Total<br>Net Coll.<br><font size="1">6-7+8+9+10</font><br>(12)</td>
				</tr>
			</table>
		</td>
		<td colspan="4" align="center" valign="top">
			<table border="1" cellpadding="0" cellspacing="0">
				<tr><td colspan="4" align="center">IDLE LANDS</td></tr>
				<tr>
					<td align="center" valign="bottom">Current<br>Year<br>(20)</td>
					<td align="center" valign="bottom">Prior<br>Year(s)<br>(21)</td>
					<td align="center" valign="bottom">Penalties<br>&nbsp;<br>(22)</td>
					<td align="center" valign="bottom">Total<br>&nbsp;<br>(23)</td>
				</tr>
			</table>
		</td>
		<td align="center">
			<table border="1" cellpadding="0" cellspacing="0">
				<tr><td align="center" valign="bottom">SPECIAL LEVY</td></tr>
				<tr><td align="center" valign="bottom">Total</td></tr>
			</table>
		</td>
		<td align="center" valign="bottom">Total<br>Non-Cash<br>&nbsp;<br>(25)</td>
		<td align="center" valign="bottom">Grand Total<br>Gross Coll.<br><font size="1">11+18+23+24+25</font><br>&nbsp;<br>(26)</td>
		<td align="center" valign="bottom">Grand Total<br>Net Coll.<br><font size="1">12+19+23+24+25</font><br>&nbsp;<br>(27)</td>
	</tr>
	<!-- BEGIN ROW -->
	<tr>
		<td>{datePaid}</td>
		<td>{taxpayerName}</td>
		<td>{periodCovered}</td>
		<td>{orNo}</td>
		<td>{barangay}</td>

		<td>{paidBasic}</td>
		<td>{discountBasic}</td>
		<td>{priorBasic}</td>
		<td>{penaltyBasic}</td>
		<td>{priorPenaltyBasic}</td>
		<td>{totalGrossBasic}</td>
		<td>{totalNetBasic}</td>

		<td>{paidSEF}</td>
		<td>{discountSEF}</td>
		<td>{priorSEF}</td>
		<td>{penaltySEF}</td>
		<td>{priorPenaltySEF}</td>
		<td>{totalGrossSEF}</td>
		<td>{totalNetSEF}</td>

		<td>{paidIdle}</td>
		<td>{priorIdle}</td>
		<td>{penaltyIdle}</td>
		<td>{totalidle}</td>

		<td>{specialLevy}</td>

		<td>{totalNonCash}</td>

		<td>{grandTotalGrossColl}</td>
		<td>grandTotalNetColl</td>
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	<!-- END ROW -->
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